| Micheline Witjenburg Psyd Pllc | |
|
1225 W Main St Suite 102 Norman OK 73069-6824 | |
| (405) 292-1000 | |
| (405) 310-4052 |
| Full Name | Micheline Witjenburg Psyd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1225 W Main St, Norman, Oklahoma |
| Authorized Official Name and Position | Micheline Witjenburg (PRESIDENT) |
| Authorized Official Contact | 4052921000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micheline Witjenburg Psyd Pllc 1225 W Main St Suite 102 Norman OK 73069-6824 Ph: (405) 292-1000 | Micheline Witjenburg Psyd Pllc 1225 W Main St Suite 102 Norman OK 73069-6824 Ph: (405) 292-1000 |
| NPI Number | 1013254440 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013254440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1158 (Oklahoma) | Primary |
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